Santana Schetrompf
Hancock,MD
Summary
A team worker with excellent communication skills, high level customer service experience and a passion for getting results. Motivated self-starter highly skilled at relationship building; exceptional writing, presenting, and interpersonal communication skills. Adept at assessing needs, generating options, and implementing solutions in collaboration with customers, co-workers, and management. Experienced at managing projects from the requirements gathering/needs identification phase through to completion. Proven ability to work with difficult situations and provide a high level of service to clients. Proven ability to leverage technology and develop and deliver impactful career-related content.
Overview
12
12
years of professional experience
Work History
Insurance Verification Specialist
RANKIN PHYSICAL THERAPY
05.2016 - Current
- Answering telephone, email, and face-to-face inquiries
- Carrying administrative duties such as filing, typing, copying, binding, scanning, etc
- Handling patient information according to HIPAA
- Scheduling all new patient evaluations and current patients
- Collecting all insurance information
- Preparing paper and electronic claims for submission to insurance companies
- Collecting necessary co-payments
- Sending required medical records to doctor's offices, lawyers, etc
- Verifying all patient insurances (over the phone, through IVR systems, and using specific internet websites)
- Obtaining proper authorizations required through each individual insurance company accordingly and in a timely manner
- Preparing insurance documents to inform patient's off their specific benefits (co-pay, deductible, out of pocket maximums, co-insurance, authorization requirements, visit limits, etc)
- Working with insurance companies to obtain retro authorizations and peer reviews if needed
- Speaking to patient's via phone or face-to-face encounters regarding questions about their insurances
- Working with doctor's offices to obtain proper referrals and signed documents required to send to insurance companies
- Calling workman's compensation adjusters/automotive accident adjusters to obtain information regarding visits allowed/medical pay available to patients
- Training new employees, making them knowledgeable about insurance and how to obtain eligibility, benefits, and authorizations
MAILROOM CLERK/IMAGING ASSISTANT
CITICORP
07.2015 - 05.2016
- Receiving, sorting, and distributing the post
- Carrying administrative duties such as filing, typing, copying, binding, scanning, etc
- Maintaining computer and manual filing systems
- Data entry to databases of loan numbers using barcode scanner to prepare them for quality control
- Scanning loan numbers to computer using appropriate files according to loan type
- Sorting, preparing, and scanning certified mail cards
- Mailing loans and letters with appropriate stuffing according to county and state
OFFICE ASSISTANT
HAPPY HILLS CAMPGROUND
10.2014 - 07.2015
- Carrying administrative duties such as filing, typing, copying, binding, scanning, etc
- Processing invoices
- Monitoring stationary levels for office supply ordering
- Maintaining computer and manual filing systems
- Handling sensitive information in a confidential manner
- Coordinating office procedures
- Replaying to email, telephone, and face-to-face enquiries
- Resolve administrative problems
- Receiving, sorting, and distributing the post
- Greeting and assisting visitors
CASHIER/WAITRESS
PARK-N-DINE RESTAURANT
06.2013 - 10.2014
- Greet customers and seat them according to their preferences
- Offer welcome drinks and appetizers
- Take orders and provide information about menu items, suggest menu items when requested
- Relay orders to the kitchen and ensure the order is prepared according to the menu
- Deliver food carts to designated areas
- Ensure continued service is managed during the course of the meal
Education
DIPLOMA -
SENIOR HIGH SCHOOL
06.2011
Skills
- DATA ENTRY
- SWITCHBOARD
- DATABASE MANAGEMENT
- ACCOUNTING
- GENERAL ACCOUNTING
- HIPAA
- DATABASE
- SCHEDULING
- MEDICAL TERMINOLOGY
Additional Information - Skills And Abilities
- Keen attention to detail ensuring the accurate completion of multiple tasks by strict deadlines
- Initiative and resourcefulness resulting in the effective streamlining of processes and systems to improve efficiency
- Data entry and database management
- Scheduling, organizing, and planning
- Front office reception and switchboard
- General accounting and administration
- Proficiency in a wide range of computer applications and office equipment
- Medical terminology knowledge
- HIPAA knowledge
References
LeAnn Wachter - Rankin Physical Therapy (P) +1 (301) 676-3850
Maria Athey (P) +1 (240) 382-7153
Jeah Bautista (P) +1 (661) 637-5661
Timeline
Insurance Verification Specialist
RANKIN PHYSICAL THERAPY
05.2016 - Current
MAILROOM CLERK/IMAGING ASSISTANT
CITICORP
07.2015 - 05.2016
OFFICE ASSISTANT
HAPPY HILLS CAMPGROUND
10.2014 - 07.2015
CASHIER/WAITRESS
PARK-N-DINE RESTAURANT
06.2013 - 10.2014
DIPLOMA -
SENIOR HIGH SCHOOL
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